The consultation provides you with an accurate assessment of your present health status, especially as it relates to prostate cancer. Next we will discuss the various treatment alternatives. Depending on the stage of your disease, your life situation, and your personal preferences, a variety of treatments may be discussed.

Once we receive your application, we will contact you in 24-48 hours.

complete FILL IN FORM below or download > new patient application

    TYPE OF CONSULTATION? (required)
    via Officevia Telephonevia Skypevia FaceTime

    Telephone or Internet type visits are $1200 - not reimbursed by insurance companies.

    PATIENT INFO

    MARITAL STATUS (required)
    SingleMarriedDivorcedWidowed

    INSURANCE INFORMATION
    Please include a copy of your insurance card. If there is incorrect or missing insurance information, this may delay the process of your application.

    MEDICAL INFORMATION

    Last Three (3) PSA Results

    Uploads * Files must be in doc, jpg, png or pdf format and < 8MB.

    Insurance Card

    Pathology or Imaging Report

    Other Report